内耳畸形人工耳蜗植入后听力言语康复效果分析

Functional outcomes of cochlear implantation in patients with malformed inner ear

目的探讨内耳畸形患者人工耳蜗植入术,并对术后听力言语康复效果进行评估。方法1997年至今,北京同仁医院共开展人工耳蜗植入术700余例,其中双侧内耳畸形患者108例,随访并回顾性分析97例,就不同原因内耳畸形的人工耳蜗植入术后开机调试及术后听力言语康复效果进行评估。结果①所有内耳畸形患者人工耳蜗植入术后都有听觉;②术后经正规康复训练,患者听力言语康复效果均有不同程度提高;③目前大部分患者于正常学校就读或已经工作,重返主流社会。结论对内耳畸形患者行人工耳蜗植入术是安全可靠的,人工耳蜗植入术后远期康复效果肯定。

OBJECTIVE The aim was to explore the clinical experiences and access the auditory performance and speech intelligibility of cochlear implantation in patients with inner ear malformations. METHODS Among 700 patients who received multichannel cochlear implantation from 1997 to 2007 in Beijing Tongren Hospital, 108 patients were diagnosed with malformed inner ear. A retrospective study was performed about the surgical characteristics and the mapping characteristics after implantation. The long term follow-up of the rehabilitative efficacy will also be presented. RESULTS （1）All patients restituted auditory after operation. （2）After the regular rehabilitation, the long term follow-up of the auditory performance and speech intelligibility were very positive. Everyone has shown improved listening and communication skills evaluated by Categories of Auditory Performance and Speech Intelligibility Rating. （3）Most of the children are studying or working and are actively involved in their local communities. CONCLUSION The cochlear implantation can be performed safely in patients with malformed inner ear. The results suggest that cochlear implantation could also provides long-term benefits to those malformed inner ear cases.